08-103749 r w
Community
City of Federal way
DevelopmentServices • •• Mechanical Permit 08-103749-00-ME
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253) 835-3050
Project Name: JONES
Project Address: 5119 SW 311TH PL Parcel Number: 321020 0455
-372
Project Description: Installation of (1)iron woodstove ,
Owner Applicant Contractor
GREY H&JOAQUINE JONES ADVANCED INSTALLATIONS INC ADVANCED INSTALLATIONS INC
5119 SW 311TH PL 16504 HWY 99 SUITE 101 ADVANII033DU(3/13/10)
FEDERAL WAY WA LYNNWOOD WA 98037 16504 HWY 99 SUITE 101
98023-2029 LYNNWOOD WA 98037
S
Additional Permit Information
Mechanical Valuation 450 Is this an Online or O.T.C.application? Yes
Mechanical Fixtures
Woodstoves 1
PERMIT EXPIRES Tuesday, February 3, 2009
Permit Issued on Thursday,August 7, 2008
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use will be in accordance with the laws,rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agent: ��4, / Date: e" 7 6/b
THIS CARD IS TO MAIN ON-SITE
4°44401*...-
CITY OF Community Developmfflit Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 08-103749-00-ME
Owner: GREY H & JOAQUINE JONES
Address: 5119 SW 311TH PL
FEDERAL WAY, WA 98023-2029
This card is part of your required inspection documents. Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE THIS CARD.
Inspections are listed as close to sequential order as possible(read left to right,top to bottom). Please schedule inspections as appropriate. Work must not
be covered until it is approved. Check with your inspector if you are unsure about any of the inspections or the inspection sequence. On-going inspections
are logged on the back of this card.
0 Mechanical Rough-in (4165) Gas Piping(4125) ❑ Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By Date By7°10. .„,... Date '
7/542
For inspector reference only
0 Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
RECEIV iD tog'
.ft
arror - -41----761- - -
( 0 3 7
tial n
AUG 0 7 2008 PERMIT '
COMMUNITY DEVELOPMENT SERVICES SF MF CO Q S� PL DE EN FP
33325 80,AVENUE SOUTH•PO BOX 9718
ICATION
EDERAL AY, / /
253-835-Y60FW7•P 3 3 26710!� FE D E RA RK
vnnw.dtuoffedemhnau.com
CDS
The following is required information-an incomplete application will not be accepted. Please print legibly(in ink)or type.
l , + • PROPERTY INFORMATION /,)
SITE ADDRESS_ 51 1 I S IA-) 31 ) n L FEd e-Q 1 Z.k>/¢ w NQ SUITE/UNIT$_
ASSESSOR'S TAX/PARCEL ft 2 1 V F - O '( &- LOT SIZE s
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach• ePae•)*iengt►wlegal )
• PROJECT INFORMATION
I�TYPE OF PERMIT 0 BUILDING 0 PLUMBING MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
x PROJECT DESCRIPTION(Provide detailedscrit�,�'°n of work included pon /ennit N onl
Ett"4 TroA( Woo SdoGI6- 1NS rrie- i;‘,.,6- �04t . - di .4.r
JLOOrk
)(PROJECT NAME(Name of Business or Last Name) J 0T/
in PEOPLE INFORMATION
PROPERTY NAME/' �' 2
OWNER (.t"IVG I TO rillU-i./1�E J 0{41t PRIMARY
&3 234
MAILING ADD ( CITY,ST E,ZIP E-MAIL ADDRESS
$1lI S�w g I p� FgrE �' ��
/ TOR COMP NAME APPLICANT NAME OFFICE PHONE
�tnl. �'c, i�l L feel _ (4zz) 74 S- 5 77
1 D T1 W_y i 1 stA:i. to �,STATE,�/ Pw�f'o Bos CELLPHONE
i CITY U ERAL WAY BU 38NESS LICENSE NUMBER { EXPIRATION DATE FAX NUMBER
0 ( )
CONTRACTOR'S REGISTRATION NUMBER EXPIRATION D B E-MAIL ADDRESS
ADzitkl i 0337) 3 to
yAPPLICANT COMPANY NAME APPLICANT NAME
OFFICE PHONE
ski t�' /41"1 ‹oat i06 o
AI ( ) -
MLING ADDRESS CITY,STATE,ZIP CELL PHONE
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect 0 Tenant ❑Agent ❑ Other ( ) -
PROJECT NAME PRIMARY PHONE E-MAIL ADDRESS
CONTACT ( ) -
LENDER NAME Per RCW 19.27.095:
r irlforn ation •a • if project -,000
lor 0 g D. - C1TY,STAT ; , •
ONE )
® DETA`LED BUILDING INFORMATION 1
EXISTING USE PROPOSEDE
y
EXISTING ASSESSED/APPRAISED VALUE$ UE OF PROPOSED WORK $
SPRINKLER=BUILDING? ❑YES ❑,NO FIRE S•• •N SYSTEM PROPOSED/REQUIRED? ❑YES ❑NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ •GHLINE ❑TACOMA ❑ PRIVATE(WELL)
SEWER'SERVICE PROVIDER ❑ LAKEHAVEN o HIGHLINE a PRIVATE(SEPTIC)
• PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING WOPOSED TOTAL
SQ.FT. /SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD '\
ADDITIONAL FLOORS(DESCRIBE)
DECK(0 COVERED OR 0 UNCOVERED?)
GARAGE 0 CARPORT 0
=STING PRO TOTAL TOTAL sIIATDYO Dr TOTAL PROPOSED 57 TOTAL Br
NUMBER OF FLOORS
**NEW HOMES ONLY** NUMBER OF BEDR OMS ESTIMATED SELLING PRICE $
• FIXTURES
Indicatenumber of each type of L, . •e installed or relocated as part of this pro'ect. Do not include existing fixtures to remain.
• / - ..4 a..1 At
MECBANICAL -- y i 1v.Value of Mechanical Wpf(c$ (• OPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
♦_- J
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS I WOODSTOVES
BBQS FANS GAS WATER HEATERS MISC(Describe)
BOILERS FIREPLACE INSERTS HOODS(companion
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
/ ----LL,._'^
EL).E TUNS for Tub/Shower ComiwJ LAVS(Bathroom Sink* URINALS MISC(De be
pISHWASHS L RAINWATER SYST VACUUM BRE RS
DRINKING FOtJNTAIN3 SHOWERS N. WATER C ETS(ron
ELECTRIC WATE EATERS SINKS `�WASHIN - CHINES.
HOSE BIBBS SUMPS
SIGNATURE
I ce ttfy under penalty of perfury that I am the property owner or authorized agent of the property owner.I certify that to the best of my
knowledge,the information submitted in support of this permit application is true and correct.I certify that I will comply with all applicable
City of Federal Way regulations pertaining to the work authorized by the issuance of a permit.I understand that the issuance of this permit
does not remove the owner's responsibility for compliance with local,state,or federal laws regulating construction or environmental laws.
I further agree to hold harmless the City of Federal Way as to any claim(including costs, expenses, and attorneys'fees incurred in the
investigation and defense of such claim), which may be made by any person, including the undersigned, and filed against the city, but only
where such claim arises out of the roll of the city,including its officers and employees,upon the accuracy of the information supplied to
the city as a part of this application.
8IGNATURE• 7 DATE
dd �� Property Owner and/or Authorized Agent
o NEW a ADDITION a ALTERATION a REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES a NO`- BASIC PLAN? o YES o NO
ZONING DESIGNATION CHANGE OF USE? o YES a NO
1 NEW ADDRESS REQUIRED? a YES o NO UP/SEPA/SU? o YES a NO
PLATTED LOT? a YES a NO DEMO PERMIT REQUIRED? a YES a NO
e•
Bulletin#100—January 1,2008 Page 2 of 4 k\Handouts\Permit Application